Just What is Neurogenic Bladder?

Neurogenic bladder is a condition that affects bothWith under active neurogenic bladder has a very
males and females and can result from disease,large capacity for urine because it has a tendency
injury, or birth defects that affect the brain, spinalto overfill.  This is because it does not have the
cord, or nerves leading to the bladder. normal contractions that a bladder should when it
Neurogenic bladder is caused by problems withis full.
the nerves carrying messages between theTreatment options for neurogenic bladder usually
bladder and the brain which resdults in the loss ofconsist of intermittent or continuous
the normal bladder function control.catheterization.  Intermittent catheterization is
Bladder function is normally automatic but isdone four to six times per day and avoids the
governed by the brain.  The final decision oncomplications that typically arise with continuous
whether or not to void is lost in patients with acatheterization, such as infection due to a buildup
neurogenic bladder and symptoms may varyof bacteria in the pelvic region.  Many patients
depending upon the cause and other associatedwho have use of their arms can learn to
conditions.  The sensory nerves in the bladdercatheterize themselves, otherwise this procedure
sense the fullness of the bladder and then themust be done by a healthcare professional.
brain allows the motor nerves to trigger theLong-term management for neurogenic bladder
muscle contraction of the bladder wall musclesincludes controlling one's fluid intake, not just by
which forces urine out through the urethera.the amount taken in but also according to how
Neurogenic bladder refers to a condition when thisoften one takes in fluids.  This way a patient can
signal is interrupted or disabled, usually due to abe more aware of when they need to empty
disease of the nervous system, brain tumors ortheir bladder and there are less occurrences of
other diseases of the brain, injuries or disease ofspontaneous emptying of the bladder and urine
the spinal cord, and conditions such as spinaspillage.  A patient may also be taught how to
bifida.  Sometimes neurogenic bladder happensuse external pressure on the muscles or by
after a surgery in the pelvic region.  Neurogenicstretching so as to empty their bladder on
bladder gives a person difficulty in passing urinecommand.  Surgery is another treatment option
without the use of a catheter or other externalfor neurogenic bladder.  Doctors may implant
method.what is known as an inflatable sphincter in the
There are two types of neurogenic bladder;area of the bladder.
overactive which means a spastic orIt is also important for patients with neurogenic
hyper-reflexive bladder and under active orbladder to continue the use of antibiotics so as to
hypotonic bladder.  With overactive bladder therereduce the occurrences of infection in the area of
is frequent and uncontrolled leaking or expulsion ofthe bladder, especially if he or she is using an
urine from the bladder and typically reducedexternal catheter.  Regular checkups are also
bladder capacity.  Involuntary release of largeneeded so as to be sure that there are no such
volumes of urine or continuous dribbling of smallinfections occurring.
amounts are ongoing health issues and a cause ofAlways consult your doctor before using this
social embarsament.information.